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Ohio rates for HCPCS E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.60 / $14.60 / $14.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $14.60 / $19.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $34.18 / $54.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $20.67 / $39.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $19.88 / $29.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $18.46 / $36.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $30.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $38.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $19.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $17.30 / $17.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.83 / $21.04 / $30.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $13.70 / $19.23